| NPI | 1548706310 |
|---|---|
| Former Name | NICOLE MONIQUE DODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17536) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH 14985) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2023-06-29 |